Active NPI
Kathryn Maher, R.D.
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1538433412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002815A
- Practice address
- 637 E 37TH St
Indianapolis, IN 46205-3507 - Phone
- (260) 415-9642
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002815A | IN | Primary |
Addresses
Primary practice location
637 E 37TH St
Indianapolis, IN 46205-3507
Mailing address
637 E 37TH St
Indianapolis, IN 46205-3507
Phone (260) 415-9642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164005169 | Other | IL | IL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002815A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1538433412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 E 37TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053507",
"telephone_number": "260-415-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E 37TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053507",
"telephone_number": "260-415-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "KATHRYN",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002815A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "164005169",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.